Friday, June 27, 2014
While much work continues to focus on preventing childhood obesity, far less is known about managing it.
Now, a virtual who-is-who of pediatric obesity researchers and clinicians from across Canada have embarked on a creating the CANadian Pediatric Weight Management Registry (CANPWR), the protocol of which appears in BMC Pediatrics.
CANPWR has three primary aims:
1. To document changes in anthropometric, lifestyle, behavioural, and obesity-related co-morbidities in children enrolled in Canadian pediatric weight management programs over a three-year period;
2. To characterize the individual-, family-, and program-level determinants of change in anthropometric and obesity-related co-morbidities;
3. To examine the individual-, family-, and program-level determinants of program attrition.
This prospective cohort, multi-centre study will include 1,600 children (2 – 17 years old with a BMI >=85th percentile) enrolled in eight Canadian pediatric weight management centres.
Data collection will occur at presentation and 6-, 12-, 24-, and 36-months follow-up.
Although the primary study outcomes are BMI z-score and change in BMI z-score over time a number of secondary outcomes including other anthropometric (e.g., height, waist circumference,), cardiometabolic (e.g., blood pressure, lipid profile, glycemia), lifestyle (e.g., dietary intake, physical activity, sedentary activity), and psychosocial (e.g., health-related quality of life) variables will also be assessed.
The researchers will also examine potential determinants of change and program attrition including individual-, family-, and program-level variables.
I am certain that the findings will be of considerable interest not just in terms of helping us better understand exactly how childhood obesity is being effectively managed in Canada (or not) but also provide important insights for planning future obesity management services for kids with overweight and obesity.